Hyperpituitarism ◦ By: Shelbie Singleton First Things First ◦ What is the pituitary gland? Known as the “master gland” because it controls the activity of other endocrine glands It secretes a number of hormones involved in metabolism, growth, blood pressure, and sexual maturation and function Hormones Adrenocorticotropic Hormone (ACTH) Growth Hormone (GH) Thyroid Stimulating Hormone (TSH) Luteinizing Hormone (LH) Prolactin What is Hyperpituitarism? ◦ Overactive pituitary gland ◦ The pituitary gland secretes excessive amounts of hormones due to a body imbalance ◦ ie: presence of a tumor ◦ Generally unknown cause Signs & Symptoms ◦ Headache ◦ Visual field loss or Double Vision ◦ Excessive sweating ◦ Hoarseness ◦ Milk secretion from breast ◦ Sleep Apnea ◦ Carpal Tunnel Syndrome ◦ Joint pain and limitation of motion Diagnostics ◦ Vary depending on cause MRI CT Scan CBC Treatment ◦ Depends on the underlying cause Surgery Transsphenoidal adenomectomy is usually recommended for patients with acromegaly or Cushing’s disease Medication Can reduce hormone levels in some cases Radiation Pts. Who can not undergo surgery and the tumor is not shrinking with medication Related Disorders ◦ Cushing’s Syndrome Excessive ACTH ◦ Hyperthyroidism Excessive TSH ◦ Acromegaly Excessive GH ◦ Prolactinoma Excessive Prolactin Overview ◦ Overactive pituitary gland ◦ Excessive secretion of hormones ◦ Hyperpituitarism is very rare but fast acting ◦ Treatment and diagnosis depends on the underlying cause ◦ Several related disorders